SUSAN BERG (NPI# 1851636161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851636161 |
| Entity Type | Individual |
| Full Name | SUSAN BERG |
| Credential | LPC |
| Practice Address |
662 N New Ballas Rd Creve Coeur MO 63141-6737 |
| Practice Telephone | 3145036966 |
| Practice Fax Number | 3149930777 |
| Mailing Telephone | 3145036966 |
| Mailing Fax Number | 3149930777 |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2014-05-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548746308 | Susan Marie Berg | Physician Assistant | 1411 Mn-79, Elbow Lake, MN 56531 | 2018-07-16 |
| 1871001149 | Susan Ruth Berg | Occupational Therapist | 3223 Lemmon Ave Apt 4129, Dallas, TX 75204-1855 | 2018-01-19 |
| 1053449371 | Susan H. Berg | Social Worker | 105 Whittier Pl, Port Jefferson, NY 11777-1619 | 2007-02-28 |
| 1205924743 | Susan R. Berg | Marriage & Family Therapist | 315 E Cotati Ave Ste G, Cotati, CA 94931-7801 | 2006-10-10 |
| 1043219736 | Susan Berg | Family Medicine | 311 W. Fairchild, Danville, IL 61832-3876 | 2005-07-15 |
| 1972506202 | Susan E. Berg | Clinical Nurse Specialist | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 | 2005-05-31 |
| 1164084778 | Susan Z Berg | Genetic Counselor, MS | One Medical Center Drive, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756 | 2019-07-03 |
| 1730201963 | Susan E Berg | Speech-Language Pathologist | 2565 Elmwood Ave, Kenmore, NY 14217-1939 | 2007-04-06 |
| 1457473936 | Susan Marie Berg | Pharmacist | 2300 N Childrens Plz, Children's Memorial Hospital, Chicago, IL 60614-3363 | 2007-04-04 |
| 1639210412 | Susan L. Berg | Nurse Practitioner | 1229 E Seminole St, Springfield, MO 65804-2227 | 2007-02-12 |
| Street Address |
662 N NEW BALLAS RD |
| City | CREVE COEUR |
| State | MO |
| Zip Code | 63141-6737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326422239 | Sound Mind Cafe | Community/Behavioral Health | 662 N New Ballas Rd, Creve Coeur, MO 63141-6737 | 2015-07-10 |
| 1033520598 | Evonne Weinhaus | Counselor | 662 N New Ballas Rd, Creve Coeur, MO 63141-6737 | 2014-05-17 |
| 1609216506 | Debora Pullin | Counselor | 662 N New Ballas Rd, Creve Coeur, MO 63141-6737 | 2013-06-25 |
| 1881935690 | Sound Mind Cafe | Counselor | 662 N New Ballas Rd, Creve Coeur, MO 63141-6737 | 2013-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337778 | Transform Your Birth, LLC | Counselor | 677 Craig Rd Ste 208, Creve Coeur, MO 63141-7125 | 2020-02-10 |
| 1811234172 | Jada Rosemary Mutic | Counselor | 11207 Mosley Hill Dr, Creve Coeur, MO 63141-7622 | 2013-01-07 |
| 1447302393 | Robin Lynn Ude | Counselor | 12431 Questover Manor Ct., Creve Coeur, MO 63141 | 2007-01-18 |
| 1487712899 | Dianna Fine | Counselor | 933 Gardenview Office Pkwy, Creve Coeur, MO 63141-5917 | 2006-12-05 |
| 1528175098 | Kathleen Ann Leach-ross | Counselor | 12150 Royal Valley Dr, Creve Coeur, MO 63141-6654 | 2006-08-23 |
| 1831126929 | Maureen Denise Taylor | Counselor | 443 N New Ballas Rd, Suite 222, Creve Coeur, MO 63141-6800 | 2006-06-26 |
| 1023616414 | Vatel Arre Jackson | Counselor | 12647 Olive Blvd Ste 200, Creve Coeur, MO 63141-6345 | 2020-10-16 |
| 1295348340 | Dani Herja | Counselor | 745 Craig Rd Ste 308, Creve Coeur, MO 63141-7122 | 2020-08-28 |
| 1275167264 | Amanda Lea Carr | Counselor | 10332 Old Olive Street Rd, Creve Coeur, MO 63141-5922 | 2020-02-27 |
| 1346801156 | Noelle Chandler | Counselor | 10845 Olive Blvd Ste 150, Creve Coeur, MO 63141-7760 | 2019-06-23 |
| Find all providers in CREVE COEUR | ||||
| City | CREVE COEUR |
| Zip Code | 63141 |
Please comment or provide details below to improve the information on SUSAN BERG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.